Friday, June 17. 2005
Zen and the Art of Overnight Call
Just coming off the last overnight call of my third year! Here are some rules to survive the thirty-hour shift:
1. Never state the fact that you have not been paged. If you do, your residents will label you a “black cloud” when the team is paged to the ER at 2 AM for 3 admissions.
2. Always maintain a state of cat-like readiness while sprawled out, asleep, on the physicians lounge sofa. Place an open book on your lap. When someone walks by, open your eyes and pretend to study. People will think you’re smart.
3. Pack a clean pair of socks. Don’t ask why. When it happens you’ll thank me.
4. On call you have two pagers, your own and the rotating “code pager” which belatedly sounds about ten minutes after a code blue is called over hospital intercom. 90% of people who are subjected to a code blue don’t make it, so you’re unlikely to make things much worse by trying to do something. One of the most sickening feelings in medicine is being the first person to start chest compressions when an elderly patient loses their pulse. Their bones are so osteoporotic that your first thrust breaks nearly all of their ribs in staccato succession.
5. Final thing to remember, DON’T PANIC… it gets much worse.
“The art of medicine consists in amusing the patient while nature cures the disease.” (Voltaire)
Going home
Never more have I been reminded of how transient med school can be. Wilson is leaving after only two years here, transferred to a school closer to home for family reasons. I remember meeting him at DC Chases where the second years traditionally hold an informal gathering for the incoming students every fall, as the first day of activities to welcome students. I've always considered him a second, unofficial little sib, and a good friend as well. Even if all we did was share a few textbooks and a few dinners, I still felt he was a close friend. I can't quite put my finger on it, but I somehow feel he was very familiar. Maybe the Cantonese thing, or that he went to college right up the road from me. I dunno. But I'll sure miss him.
Plus, he found Jade Villa, home of the best dim sum around.
Here's a picture of (L -> R) him, me and Kevin, at dinner tonight:
I'm sad to see you go, W, but I know this is what's right. Go show those UofA docs what EVMS is made of.
In the spirit of things...
What a better way to contribute to Randall's effort in procrastination by taking a break from studying for step 1 of the USMLE and testing the limits of his blog site. I have my iSight hooked up and decided to record a short quicktime movie of me saying hello from my little hovel in the library.
I was whispering b/c I didn't want to disturb Randall's studying!!
Yes, yes, the exciting life of the medical student. Just like you see in ER, just instead of the ED you're in a cold library for hours on end, and instead of hussle & bussle there are exciting "study breaks" were you can do crazy things like: post in a blog, or go to the vending machines for more candy. But honestly, that's really just your second year and studying for the boards. Third year you get to trade all that fun in for all sorts of new pain (as Randall, Amit, & Mark can tell you about). Anyway, I know Randall wants to kill me for that movie.... let's just say it was good payback!
If you can't view the movies linked to the text, and are on a pc, you should download the new Quicktime 7 preview for pc's here from apple.
Thursday, June 16. 2005
Procrastination
Well, I can't say I'm much happier with this look, but at least it's not the default layout. The banner image is of the Hague, a small body of water running by EVMS. During Hurricane Isabel, it flooded, and Mark grabbed this magical shot of the bench by the water.
So after a few hours rounding, we stared at x-rays and pretended to know what we were looking at. I almost fooled my peers into believing I knew something. ... not so much. I just know I'm going to kill someone because I'll miss a bowel perforation or a tension pneumothorax when staring at the x-ray of some future patient. Or worse, I'll fall asleep in the reading room. I know now that I can never be a radiologist - they sit all day in dark rooms. I have no clue how they stay awake; I almost fell asleep right in front of my professor.
Umakant made me to go to spinning class (some sort of cycling thing), and it kicked my butt. I really need to exercise more.
Picture of the day, a scene from e3 2004. I love the colors, and the way everyone is entranced by the screens. A little shaky, but I couldn't use flash...
Too bad I couldn't go this year.
Oh, and I changed the name of the blog. "The New Project" just wasn't doing it for me (wonder why). The new one is from a Victor Hugo quote.
Wednesday, June 15. 2005
First entry
So this is the first entry. I've never blogged before, but hey, why not now. I'm in the middle of the big medicine rotation, being worked to death, but learning a lot. I can't really feel TOO sorry for myself, considering my patients are probably as sick as they come. It's almost surreal, the strange fascination I have with the moments at death's door, and the heavy-heartedness I feel seeing my patients lying there without much hope left. Ugh.
Anyways, I'm doing this to set up a "blog" for Mark, who will be leaving our class this coming year to make an incredible journey to South America, both to provide some care for folks, and to grow in ways I probably never will.
Let's see if this picture thing works:
So this is Long Beach Marina. I took this a while ago, right before seeing Miss Saigon, back in the spring of '03. My dad's always had a thing for lighthouses, and I guess it's rubbed off on me.